Information as of 12/16/2018

Last Updated by Licensee on 10/21/2018

Jonathan Andrew Flom - MD
License#: 
Issue Date: 
200400331
10/10/2018
License Status: 
Renewal Date:
Active  
10/21/2019  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 200400331 10/10/2018 
 200400331 04/22/2004 
Inactive License
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
North Dakota
Out of Country Active/Inactive Licenses
None Reported